| Regimental number | 3/130a |
| Address | 232 Fitzgerald Street, St Albans |
| Marital status | Single |
| Next of kin | Mrs W G Atyeo, 232 Fitzgerald Street, Christchurch |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, Main Body, Ambulance |
| Embarkation details | Unit embarked from Wellington on board Star of India on |
| Miscellaneous details | Nominal Roll Vol. 1: Ambulance/Main Body |